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TRACY B MOORE
NPI 1366242679
Psychologist - Adult Development & Aging in Fargo, ND

Active since March 17, 2025
1240 BROADWAY N APT 5, FARGO, ND 58102(701) 561-9081 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy B Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY B MOORE (NPI 1366242679) is an individual adult development & aging provider in Fargo, North Dakota and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1366242679
Entity TypeIndividualFemale
Primary Taxonomy103TA0700X
Provider Legal NameTRACY B MOORE
Location Address1240 BROADWAY N APT 5Fargo, ND 58102-2660
Mailing Address1240 Broadway N Apt 5Fargo, ND 58102-2660 · (701) 561-9081
Phone(701) 561-9081
Sole ProprietorYes
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 16, 2025
✔ NPI 1366242679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers
Taxonomy Code103TA0700X
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
1240 BROADWAY N APT 5, Fargo, ND 58102
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Other Names 1

Former Name (1)Tracy B Jipson

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Moore's NPI number?

The NPI number for Tracy Moore is 1366242679. It was assigned to this individual provider in the NPPES registry on March 17, 2025. The provider is also known as Tracy B Jipson.

Where is Tracy Moore located?

Tracy Moore practices at 1240 Broadway N Apt 5, Fargo, ND 58102. The listed phone number is (701) 561-9081.

What is Tracy Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

When was this NPI record last updated?

The NPPES record for Tracy Moore was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.